A dedicated amputee sports programme improves physical functioning and sports participation

Wieneke van Oorschot; Noël  Keijsers; Ir. René F. van Ee

doi:10.2340/jrmcc.v6.12392

Authors

Wieneke van Oorschot Sint Maartenskliniek, Ubbergen, the Netherlands https://orcid.org/0000-0002-9969-9768
Noël Keijsers Sint Maartenskliniek, Ubbergen, the Netherlands https://orcid.org/0000-0001-7835-7112
Ir. René F. van Ee Sint Maartenskliniek, Ubbergen, the Netherlands https://orcid.org/0000-0002-6843-0133

DOI:

https://doi.org/10.2340/jrmcc.v6.12392

Keywords:

amputees, sports, physical fitness, mobility, participation, sedentary behaviour

Abstract

Objective: People with a lower-limb amputation often have a sedentary lifestyle and increasing physical activity is important to optimize their health and quality of life. To achieve this the Amputee Parateam programme was developed. Amputee Parateam is a sports programme that addresses important physical, environmental, and social barriers for sports participation. This programme was evaluated in terms of various aspects of physical functioning and health.

Design: Repeated measures design.

Patients: Thirteen participants with a lower-limb amputation, with a median age of 51 (interquartile range (IQR) 40–63).

Methods: Measurements were performed at T0 (baseline), T1 (after 6 weeks) and T2 (follow-up after 12 months). Outcome measures were walking ability, functional mobility, daily activity, health-related quality of life, and adherence to sports at follow-up.

Results: Walking ability and functional ability significantly improved between T0 and T1. Adherence to sports at follow-up was high, with 11/13 participants still practicing sports weekly. There were no significant changes in daily activity or health-related quality of life.

Conclusions: The Amputee Parateam programme successfully improved walking ability and functional mobility and resulted in a high adherence to sports among the participants. However, these improvements in physical capacity did not lead to less sedentary behaviour in daily life.

Downloads

Download data is not yet available.

References

Pell JP, Donnan PT, Fowkes FGR, Ruckley CV. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg 1993; 7: 448-451.

https://doi.org/10.1016/S0950-821X(05)80265-8 DOI: https://doi.org/10.1016/S0950-821X(05)80265-8

Parker K, Kirby RL, Adderson J, Thompson K. Ambulation of people with lower-limb amputations: relationship between capacity and performance measures. Arch Phys Med Rehabil 2010; 91: 543-549.

https://doi.org/10.1016/j.apmr.2009.12.009 DOI: https://doi.org/10.1016/j.apmr.2009.12.009

Bussmann JB, Grootscholten EA, Stam HJ. Daily physical activity and heart rate response in people with a unilateral transtibial amputation for vascular disease. Arch Phys Med Rehabil 2004; 85: 240-244.

https://doi.org/10.1016/S0003-9993(03)00485-4 DOI: https://doi.org/10.1016/S0003-9993(03)00485-4

Hofstad CJ, Bongers KTJ, Didden M, van Ee RF, Keijsers NLW. Maximal walking distance in persons with a lower limb amputation. Sensors 2020; 20: 6770.

https://doi.org/10.3390/s20236770 DOI: https://doi.org/10.3390/s20236770

Langford J, Dillon MP, Granger CL, Barr C. Physical activity participation amongst individuals with lower limb amputation. Disabil Rehabil 2019; 41: 1063-1070.

https://doi.org/10.1080/09638288.2017.1422031 DOI: https://doi.org/10.1080/09638288.2017.1422031

Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: a study of a lower-limb amputee population. Prosthet Orthot Int 2008; 32:186-200.

https://doi.org/10.1080/03093640802016514 DOI: https://doi.org/10.1080/03093640802016514

Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with resk for disease incidence, mortality, and hospitalization in adults. Ann Intern Med 2015; 162: 123-132.

https://doi.org/10.7326/M14-1651 DOI: https://doi.org/10.7326/M14-1651

De Laat FA, Dijkstra PU, Rommers GM, Geertzen JHB, Roorda LD. Prevalence of comorbidity and its association with demographic and clinical characteristics in persons wearing a prosthesis after a lower-limb amputation. J Rehabil Med 2018; 50: 629-635.

https://doi.org/10.2340/16501977-2336 DOI: https://doi.org/10.2340/16501977-2336

Bragaru M, van Wilgend CP, Geertzen JHB, Ruijs SGJB, Dijkstra PU, Dekker R. Barriers and facilitators of participation in sports: a qualitative study on Dutch individuals with lower limb amputation. PLoS One 2013; 8: e59881.

https://doi.org/10.1371/journal.pone.0059881 DOI: https://doi.org/10.1371/journal.pone.0059881

Jaarsma EA, Dijkstra PU, Geertzen JHB, Dekker R. Barriers to and facilitators of sports participation for people with physical disabilities: a systematic review. Scand J Med Sci Sports 2014; 24: 871-881.

https://doi.org/10.1111/sms.12218 DOI: https://doi.org/10.1111/sms.12218

Horemans H, Kooijmans H, van den Berg-Emons R. The Activ8 activity monitor: validation of posture and movement classification. J Rehabil Assist Technol Eng 2020; 7: 2055668319890535.

https://doi.org/10.1177/2055668319890535 DOI: https://doi.org/10.1177/2055668319890535

van Velzen JM, van Bennekom CAM, Polomski W, Slootman JR, van der Woude LHV, Houdijk H. Physical capacity and walking ability after lower limb amputation: a systematic review. Clin Rehabil 2006; 20: 999-1016.

https://doi.org/10.1177/0269215506070700 DOI: https://doi.org/10.1177/0269215506070700

Gardner B, Smith L, Lorencatto F, Hamer M, Biddle SJH. How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults. Health Psychol Rev 2016; 10: 89-112.

https://doi.org/10.1080/17437199.2015.1082146 DOI: https://doi.org/10.1080/17437199.2015.1082146

Miller MJ, Jones J, Anderson CB, Christiansen CL. Factors influencing participation in physical activity after dysvascular amputation: a qualitative meta-synthesis. Disabil Rehabil 2018; 41: 3141-3150.

https://doi.org/10.1080/09638288.2018.1492031 DOI: https://doi.org/10.1080/09638288.2018.1492031